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Great Lakes Ttc,llc
Adult Mental Health Clinic/Center in Petoskey, Michigan
NPI 1659610608

Great Lakes Ttc,llc is an Adult Mental Health Clinic/Center based in Boyne City, MI and is specialized in Adult Mental Health. Great Lakes Ttc,llc practices in Petoskey, MI. The NPI Number for Great Lakes Ttc,llc is 1659610608 and holds a License No. 6801089396 (Michigan).

The current practice location address for Great Lakes Ttc,llc is 2206 Mitchell Park Dr Ste 10, Petoskey, MI and can be reached out via phone at 231-487-2415.

Location: 2206 Mitchell Park Dr Ste 10, Petoskey, MI, 49712-9356
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659610608
Provider Name
Great Lakes Ttc,llc
Credential
Provider Entity Type
Organization
Address
2206 Mitchell Park Dr Ste 10, Petoskey, MI, 49712-9356
Phone Number
231-487-2415
Fax Number
Provider Enumeration Date
02/12/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1700139904 01 MI INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
2206 Mitchell Park Dr Ste 10
City
Petoskey
State
Michigan
Zip
49770-8674
Phone Number
231-487-2415
Fax Number
person
Provider Business Mailing Address Details
Address
2206 Mitchell Park Dr Ste 10
City
Petoskey
State
Michigan
Zip
49770-8674
Phone Number
231-487-2415
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
6801089396 (Michigan)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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